Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Goodwin Sr., MA, APCC, PPS

Individual provider Mental Health Counselor · NPI 1396604740

Kevin Goodwin Sr., MA, APCC, PPS is a Mental Health Counselor in Stockton, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2026
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1721 Carpenter Rd
Stockton, CA 95206-3809
Phone: (209) 933-7260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1670 E 6th St, Stockton, CA 95206-2352 — (209) 933-7190

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence APCC16194 (CA)

Record details

NPI number1396604740
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , APCC , PPS
Sole proprietorNo
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

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